TAYLOR LEE JORGENSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049247114

License Status

NOT RENEWED

Business

First Name

TAYLOR

Middle

LEE

Last Name

JORGENSON

Business Name

TAYLOR LEE JORGENSON

Original Issue Date

12/14/2016

Effective Date

03/27/2017

Expiration Date

03/31/2018

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/19/2018